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Otis Urethrotomie

□ Fig. 6.4. Normal, closed right inner inguinal ring. Spermatic vessels and vas deferens join each other in an inverse V-shape before entering the inguinal canal. In this case of nonpalpable right testis, surgery proceeds with open inguinal exploration

Laparoscopic Inguinal Canal Pictures
□ Fig. 6.5. Open right inner inguinal ring with spermatic vessels and vas deferens entering the open inguinal canal. In this case of nonpalpable right testis, surgery proceeds with open inguinal exploration
Exploratory Abdominal Surgery
□ Fig. 6.6. Left inner inguinal ring with normal-sized intra-abdominal testis distally located on the external iliac vessels. Surgery proceeds with one-stage open or laparoscopic orchiopexy
Intraabdominal Testicles

□ Fig. 6.7. Intraoperative situation during open orchiopexy of left distal intraabdominal testis (see □ Fig. 6.6). Note the Prentiss manoeuvre (testicle and spermatic cord pass under the mobilized inferior epigastric vessels to gain length for tension-free orchiopexy)

e blind ending vas deferens

Image Testicle Resection
□ Fig. 6.8. Intra-abdominal right testicular aplasia: blind-ending spermatic vessels and blind-ending vas deferens. No further surgery needs to be performed
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